Paper Information

Journal:   IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)   OCTOBER 2014 , Volume 16 , Number 10; Page(s) 1 To 5.
 
Paper: 

A MODEL FOR DECISION MAKING FOR INTENSIVE CARE UNIT ADMISSION IN SOURCE LIMITED HOSPITALS

 
 
Author(s):  MAGHSOUDI BEHZAD, TABEI SEYED HESAMODIN*, ZAND FARID, TABATABAEI HAMIDREZA, AKBARZADEH ARMIN
 
* DEPARTMENT OF ANESTHESIOLOGY, SHIRAZ ANESTHESIOLOGY AND CRITICAL CARE RESEARCH CENTER, SHIRAZ UNIVERSITY OF MEDICAL SCIENCES, SHIRAZ, IR IRAN
 
Abstract: 

Background: Demand for ICU beds is exceeding its supply. Since the sources are limited in some centers, it is necessary to design a model to identify the patients who benefit more from ICU beds.
Objectives: The present study aimed to develop a model to prioritize adult patients according to their clinical indications by a three rounded Delphi method study.
Patients and Methods: In this study, 22 physicians who practiced in a source limited hospital in southern Iran were invited to participate in a three phase Delphi survey.
Results: At first, the panelists recommended 30 indications. The indications in the first checklist plus those obtained by literature review formed the second checklist which contained 36 items. The items were scored from 0 to 10 by the panelists. According to the scores, the indications were categorized into three priority levels, which were confirmed by the panelists in the third round.
Conclusions: This simple checklist contains the indications for ICU admission categorized into three priority levels. This checklist can be considered as a guide for physicians who practice in hospitals with limited number of ICU beds.

 
Keyword(s): INTENSIVE CARE UNIT, DELPHI, PRIORITIZING
 
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